High performing ASCs can negotiate higher reimbursement rates, according to Mr. Seitz and Ms. Glaser. Also, performing at a high level helps attract patients and payors and also helps recruit and retain physicians and staff members.
These are the five measures of success that ASCs should strive for, according to Mr. Seitz and Ms. Glaser.
1. Above normal clinical quality. This point is important because payors want to know what ASCs are providing. Having below-average clinical quality can result in a reduction of reimbursement. Both speakers also noted that cost is a component of clinical quality.
2. Absolute regulatory compliance. According to the speakers, it is important for ASCs to complete monthly and weekly checks of staff compliance, because it is difficult to play catch-up in this area. This are is especially important because it relates to retaining accreditation status.
3. Outstanding patient satisfaction. This measure is important because an unhappy patient can call state agencies or insurance companies, or sue the ASC, according to Ms. Glaser. To achieve outstanding patient satisfaction, Ms. Glaser said to use patient surveys and actually fix the problems expressed by multiple patients. “Take it to the staff and the board and address it,” she said. “One hundred percent patient satisfaction is possible if you pay attention and take action.”
4. Profitable financial management. Mr. Seitz said this point is extremely important when it comes to payors. He said that payors will not go through the effort to work with ASCs that are not financially stable, because they have many other options available. While many accreditation organizations require measuring finances as part of the accreditation process, Mr. Seitz recommended also measuring procedures and other numbers by payor, because payors find it beneficial to know how many procedures covered by them are done at the center. “That helps negotiate a better contract,” Mr. Seitz said.
5. Proven operational competence. This measure combines the four previous measures, according to Mr. Seitz. Overall, ASC leaders should figure out what it is that makes them proud of their facility and then use it to their advantage. For example, some centers excel at spine or orthopedics. Mr. Seitz said to focus on those aspects.
